FNP MEDICAL SERVICES LLC NPI 1124581681

NPI Information

NPI: 1124581681
Provider Name: FNP MEDICAL SERVICES LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 07D2171236

Address:
400 BAYONET ST STE 206
NEW LONDON, CT
ZIP 06320
Phone: (860) 862-8195
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FNP MEDICAL SERVICES LLC is a family nurse practitioner in New London, CT. FNP MEDICAL SERVICES LLC NPI is 1124581681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 BAYONET ST STE 206
NEW LONDON, CT
ZIP 06320-633
Phone: (860) 862-8195
Fax: (860) 892-8223

The provider's authorized official is Kimberly Anne Kurey .
The authorized official title is Owner and has the following contact phone number (860) 892-8195.

The CLIA number assigned to this NPI record is 07D2171236 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2019 and was last updated on 3/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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